scholarly journals Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India

2002 ◽  
Vol 181 (6) ◽  
pp. 499-504 ◽  
Author(s):  
Mani Chandran ◽  
Prathap Tharyan ◽  
Jayaprakash Muliyil ◽  
Sulochana Abraham

BackgroundCommunity-based epidemiological data on post-partum depression from developing countries are scarce.AimsTo determine the incidence of and risk factors for developing post-partum depression in a cohort of women living in rural south India.MethodWe assessed 359 women in the last trimester of pregnancy and 6–12 weeks after delivery for depression and for putative risk factors.ResultsThe incidence of post-partum depression was 11% (95% CI 7.1–14.9). Low income, birth of a daughter when a son was desired, relationship difficulties with mother-in-law and parents, adverse life events during pregnancy and lack of physical help were risk factors for the onset of post-partum depression.ConclusionsDepression occurred as frequently during late pregnancy and after delivery as in developed countries, but there were cultural differences in risk factors. These findings have implications for policies regarding maternal and child-care programmes.

2008 ◽  
Vol 39 (6) ◽  
pp. 999-1007 ◽  
Author(s):  
K. Gausia ◽  
C. Fisher ◽  
M. Ali ◽  
J. Oosthuizen

BackgroundRecent evidence suggests that the prevalence of postnatal depression (PND) is highest in low-income developing countries. This study aimed to estimate the prevalence of PND and its associated risk factors among Bangladeshi women.MethodThe study was conducted in the Matlab subdistrict of rural Bangladesh. A cohort of 346 women was followed up from late pregnancy to post-partum. Sociodemographic and other related information on risk factors was collected on structured questionnaires by trained interviewers at 34–35 weeks of pregnancy at the woman's home. A validated local language (Bangla) version of the Edinburgh Postnatal Depression Scale (EPDS-B) was used to measure depression status at 34–35 weeks of pregnancy and at 6–8 weeks after delivery.ResultsThe prevalence of PND was 22% [95% confidence interval (CI) 17.7–26.7%] at 6–8 weeks post-partum. After adjustment in a multivariate logistic model, PND could be predicted by history of past mental illness [odds ratio (OR) 5.6, 95% CI 1.1–27.3], depression in current pregnancy (OR 6.0, 95% CI 3.0–12.0), perinatal death (OR 14.1, 95% CI 2.5–78.0), poor relationship with mother-in-law (OR 3.6, 95% CI 1.1–11.8) and either the husband or the wife leaving home after a domestic quarrel (OR 4.0, 95% CI 1.6–10.2).ConclusionsThe high prevalence of PND in the study was similar to other countries in the South Asian region. The study findings highlight the need for programme managers and policy makers to allocate resources and develop strategies to address PND in Bangladesh.


2014 ◽  
Vol 04 (01) ◽  
pp. 042-045
Author(s):  
Joby Francis ◽  
Josmi Jose ◽  
Joyse K. Sunny ◽  
Juvairiya U. S. ◽  
Sanil Varghese

Abstract:Coronary Heart Disease (CHD) is the leading cause of death in the world. While it is well established as the foremost contributor to mortality in most developed countries, it is also a major and rapidly rising cause of death in many developing countries. To assess the existing knowledge of people regarding cardiovascular risk factors. This community based descriptive study was conducted to assess the knowledge regarding cardiovascular risk factors among community people. They were selected through Non probability convenient sampling and pre-validated semi-structured questionnaire related to various aspects of cardiovascular risk factors used. The data was analyzed using SPSS version 16 and the results expressed as proportion. A total of 100 community people surveyed, majority of the participants (98%) had average level of knowledge regarding cardiovascular risk factors. There was a significant association between knowledge and age (x2 =5.09, p<0.05). There was a significant association between knowledge and education (X2 =4.38, p<0.05). Majority of the participants (76%) did not have family history of heart diseases. The study reflects that majority of the participants (98%) had average level of knowledge regarding cardiovascular risk factors. Hence it is necessary to educate the people in community regarding cardio vascular risk factors.


2002 ◽  
Vol 180 (1) ◽  
pp. 76-81 ◽  
Author(s):  
Peter J. Cooper ◽  
Mireille Landman ◽  
Mark Tomlinson ◽  
Christopher Molteno ◽  
Leslie Swartz ◽  
...  

BackgroundA high rate of maternal depression and associated disturbance in the mother–infant relationship has been found in an indigent peri-urban South African community Khayelitsha. The question arises whether a community-based intervention could be beneficial.AimsTo train community workers to deliver an intervention to mothers and infants in Khayelitsha, and to compare mothers and infants receiving this intervention with a sample receiving no such intervention.MethodFour Khayelitsha women were trained in a mother-infant intervention, which they delivered to 32 women recruited in late pregnancy. At 6 months post-partum, maternal mood, the mother–infant relationship and infant growth were assessed. The findings were compared with a matched group of 32 mothers and infants.ResultsThere was no reliable impact of the intervention on maternal mood. However, compared with the comparison sample, the quality of mother – infant engagement was significantly more positive for those who had received the intervention.ConclusionsThe pilot study produced preliminary evidence of a benefit of a community-based mother – infant intervention delivered by trained, but otherwise unqualified, community workers, sufficient to warrant a formal controlled evaluation of this treatment.


2021 ◽  
Vol 13 (07) ◽  
pp. 97-105
Author(s):  
Khalid Ahmad Amara ◽  
Somaya Mohammad Mahfouz Alshereif ◽  
Reham Mohammad Kharabah

2020 ◽  
Author(s):  
Mohsina Haq ◽  
Asif Rehman ◽  
Muhammad Noor ◽  
Jawad Ahmed ◽  
Junaid Ahmad ◽  
...  

Background: High number of SARS CoV2 infected patients has overburdened healthcare delivery system, particularly in low-income countries. In the recent past many studies from the developed countries have been published on the prevalence of SARS CoV2 antibodies and the risk factors of COVID 19 in healthcare-workers but little is known from developing countries. Methods: This cross-sectional study was conducted on prevalence of SARS CoV2 antibody and risk factors for seropositivity in HCWs in tertiary care hospitals of Peshawar city, Khyber Pakhtunkhwa province Pakistan. Findings: The overall seroprevalence of SARS CoV2 antibodies was 30.7% (CI, 27.8 to 33.6) in 1011 HCWs. Laboratory technicians had the highest seropositivity (50.0%, CI, 31.8 to 68.1). Risk analysis revealed that wearing face-mask and observing social-distancing within a family could reduce the risk (OR:0.67. p<0.05) and (OR:0.73. p<0.05) while the odds of seropositivity were higher among those attending funeral and visiting local-markets (OR:1.83. p<0.05) and (OR:1.66. p<0.01). In Univariable analysis, being a nursing staff and a paramedical staff led to higher risk of seropositivity (OR:1.58. p< 0.05), (OR:1.79. p< 0.05). Fever (OR:2.36, CI, 1.52 to 3.68) and loss of smell (OR:2.95, CI: 1.46 to 5.98) were significantly associated with increased risk of seropositivity (p<0.01). Among the seropositive HCWs, 165 (53.2%) had no symptoms at all while 145 (46.8%) had one or more symptoms. Interpretation: The high prevalence of SARS CoV2 antibodies in HCWs warrants for better training and use of protective measure to reduce their risk. Early detection of asymptomatic HCWs may be of special importance because they are likely to be potential threat to others during the active phase of viremia. Funding: Prime Foundation Pakistan.


2020 ◽  
Author(s):  
Akpovire B Oduaran ◽  
Okechukwu Stephen Chukwudeh

Abstract Background Diarrhoea is a major cause of mortality among under-five children, especially in less developed countries. Previous studies on childhood diarrhoea have largely focused on biomedical methods with little attention given to community-based approach to reduce the prevalence of the disease in the slums, classified in literature among areas of high diarrhoea incidence. The key question is does childhood sanitation practices influence the incidence of diarrhea? This study, was therefore, designed to examine the association between childhood sanitation practices and incidence of diarrhea using community-based approach.Methods The value beliefs and planned behavior theories were adopted as framework, while cross-sectional survey was use to elicit data from 900 mothers of under-five children who had lived in the study locations for at least 12 months preceding the research and 10 In-depth interviews was conducted.Results There was a positive significant association between defecating with unimproved toilet facilities (χ2=42.167, p<0.05), cleaning buttocks with inappropriate materials (χ2=4.274, p<0.05), disposing faeces around household environments (χ2=10.542, p<0.05), and childhood diarrhea. The odds was higher among children whose mothers had no education (OR=1.560), widow (OR=5.542), poor (OR=1.556), and children that defecates with unhygienic toilet facilities (OR=7.806).Conclusion Community perceptions interact with poverty to influence unhygienic toilet practices in the slums. This has negative health implications on the lives of low-income and vulnerable slum dwellers. Thus, community-based education on improved sanitary practices is necessary to reduce diarrhoea prevalence.


2018 ◽  
Vol 120 (11) ◽  
pp. 2660-2680 ◽  
Author(s):  
Sarah Dawn Lee ◽  
Mahitab Hanbazaza ◽  
Geoff D.C. Ball ◽  
Anna Farmer ◽  
Katerina Maximova ◽  
...  

Purpose The purpose of this paper is to conduct a narrative review of the food insecurity literature pertaining to university and college students studying in Very High Human Development Index countries. It aims to document food insecurity prevalence, risk factors for and consequences of food insecurity and food insecurity coping strategies among students. Design/methodology/approach English articles published between January 2000 and November 2017 were identified using electronic databases. Quality Assessment Tool for Quantitative Studies assessed the study quality of quantitative research. Findings A total of 37 quantitative, three mixed-methods and three qualitative studies were included from 80,914 students from the USA (n=30 studies), Australia (n=4), Canada (n=8) and Poland (n=1). Prevalence estimates of food insecurity were 9–89 percent. All quantitative studies were rated weak based on the quality assessment. Risk factors for food insecurity included being low income, living away from home or being an ethnic minority. Negative consequences of food insecurity were reported, including reduced academic performance and poor diet quality. Strategies to mitigate food insecurity were numerous, including accessing food charities, buying cheaper food and borrowing resources from friends or relatives. Research limitations/implications Given the heterogeneity across studies, a precise estimate of the prevalence of food insecurity in postsecondary students is unknown. Practical implications For many students studying in wealthy countries, obtaining a postsecondary education might mean enduring years of food insecurity and consequently, suffering a range of negative academic, nutritional and health outcomes. There is a need to quantify the magnitude of food insecurity in postsecondary students, to inform the development, implementation and evaluation of strategies to reduce the impact of food insecurity on campus. Originality/value This review brings together the existing literature on food insecurity among postsecondary students studying in wealthy countries to allow a better understanding of the condition in this understudied group.


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